针是治疗偏头痛药物的有效替代品:一个总体审查
Paulo Alexandre Pereira1, Carlos Miguel Marto2, Bárbara Oliveiros3
1Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal.
Journal of integrative medicine
|December 5, 2025
概括
针提供了一种安全有效的偏头痛治疗方法,与标准药物相比,可以减少疼痛和每月偏头痛的几天. 这是它它它它.
科学领域:
- 综合医学是一个整体的医学.
- 神经学 神经学
- 疼痛管理 疼痛管理
背景情况:
- 偏头痛是一种广泛的神经系统疾病,具有重大的全球影响.
- 针对偏头痛的治疗和预防具有潜在的益处,因为它具有安全性和神经通路调节.
- 关于针治疗偏头痛的现有证据是不确定的,有相互矛盾的报道.
研究的目的:
- 进行总体审查,评估针在偏头痛治疗中的有效性.
- 为了比较针与偏头痛标准药物治疗的疗效.
主要方法:
- 搜索了多个数据库 (MEDLINE,Embase,Web of Science,Cochrane,Epistemonikos) 进行系统审查,直到2024年2月.
- 包括随机对照试验的系统审查,将针与偏头痛患者的药理疗法进行比较.
- 提取了数据,使用随机效应模型进行了元分析,并评估了评论质量 (AMSTAR 2) 和证据确定性 (GRADE).
主要成果:
- 包括22篇与24,635名患者的评论;最喜欢针改善和耐受性.
- 分析显示,针治疗显著降低了疼痛强度 (SMD: -2.17) 和偏头痛日 (SMD: -2.92),持续在3个月内.
- 观察到高度的异质性;反应率和不良事件没有达到统计学意义. 审查质量低至中等.
结论:
- 针是一种安全有效的替代药物治疗偏头痛管理.
- 当传统治疗方法失败,禁用或偏好非药物治疗方法时,请考虑针作为预防的选择.
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